| NPI | 1922409804 |
|---|---|
| Former Name | AMY GARRETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL 1415) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2019-02-12 |