NPI | 1093210122 |
---|---|
Former Name | AMANDA MICHELLE TUZZIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 24436) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 24436) |
Enumeration Date | 2018-03-29 |
Last Update Date | 2021-08-02 |