NPI | 1982075958 |
---|---|
Former Name | AMANDA M HAAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA.1863) |
Additional Taxonomies | 363A00000X Physician Assistant |
363A00000X Physician Assistant | |
Enumeration Date | 2015-10-15 |
Last Update Date | 2022-08-08 |