| NPI | 1841464732 |
|---|---|
| Former Name | AMANDA DAWN SAN U |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: GA 5323) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 1715) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2024-12-12 |