| NPI | 1912201955 |
|---|---|
| Former Name | AMANDA M CANDELA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 020453-1) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA055549) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2021-02-25 |