| NPI | 1124536776 |
|---|---|
| Former Name | AMANDA R IMBRIANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 11002896) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F382796-1) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2021-03-18 |