| NPI | 1912218280 |
|---|---|
| Former Name | AMY K HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: UT 8144214-1206) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 2416) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2012-12-11 |