| NPI | 1821284365 |
|---|---|
| Former Name | AMY HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA856) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KS T-01551) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2013-11-14 |