NPI | 1871948810 |
---|---|
Former Name | AMANDA MURPHY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110005472) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2016-04-27 |
Last Update Date | 2019-04-25 |