| NPI | 1750353785 | 
|---|---|
| Former Name | AMY HAMILTON | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 10969) | 
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9102727) | 
| Enumeration Date | 2006-02-03 | 
| Last Update Date | 2017-04-07 |