| NPI | 1871948810 |
|---|---|
| Former Name | AMANDA MURPHY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: ME PA2284) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA2284) |
| 363A00000X Physician Assistant (Licence: VA 0110005472) | |
| 363AS0400X Physician Assistant, Surgical (Licence: VA 0110005472) | |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2025-08-04 |