| NPI | 1851727655 |
|---|---|
| Former Name | JAMISON ANDREA FIEDOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: PA MA056467) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA056467) |
| 363AM0700X Physician Assistant, Medical (Licence: PA MA056467) | |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2022-03-30 |