| NPI | 1811195720 |
|---|---|
| Former Name | AMY BETH YOUCHNOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA054653) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP0054300) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2013-03-05 |