| NPI | 1972085223 |
|---|---|
| Former Name | AMBER NICOLE MATTHEWS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110006400) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 9259) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2022-03-29 |