| NPI | 1770533713 |
|---|---|
| Former Name | AMY L. DENNIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME 1980) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 1238) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2023-11-14 |