| NPI | 1851067607 |
|---|---|
| Former Name | AMANDA ATEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA062753) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA062753) |
| 363A00000X Physician Assistant (Licence: PA OA005766) | |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2025-07-18 |