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 |