| NPI | 1245630532 |
|---|---|
| Former Name | STEPHANIE J D'AMICO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA MD3280928) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 069333-23) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2022-07-21 |