| NPI | 1750534822 |
|---|---|
| Former Name | AMY LYNN COOMBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 012899) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA053578) |
| Enumeration Date | 2008-11-02 |
| Last Update Date | 2013-07-16 |