NPI | 1912366071 |
---|---|
Former Name | AMY LYNN MONK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 2951) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9113066) |
Enumeration Date | 2016-02-17 |
Last Update Date | 2024-07-02 |