NPI | 1801133681 |
---|---|
Former Name | AMANDA M BYRNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: ME PA326) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA326) |
Enumeration Date | 2013-01-14 |
Last Update Date | 2023-07-03 |