NPI | 1922329903 |
---|---|
Former Name | AMANDA FRANK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 11131) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: ND PAC0424) |
Enumeration Date | 2010-06-14 |
Last Update Date | 2024-09-10 |