| NPI | 1942970769 |
|---|---|
| Former Name | AMANDA LOHMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA 62758) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 8659) |
| 363AS0400X Physician Assistant, Surgical (Licence: AZ 8659) | |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2023-11-22 |