NPI | 1225550684 |
---|---|
Former Name | AMANDA MARIE D'ERCOLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP134208) |
Enumeration Date | 2017-07-07 |
Last Update Date | 2022-10-31 |