| NPI | 1992376974 |
|---|---|
| Former Name | VANESSA MARILYN AMABILE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61181354) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2021-08-03 |