| NPI | 1841775855 |
|---|---|
| Former Name | AMY LYNN ROOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA163405) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA189122) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2018-12-31 |