| NPI | 1265848212 |
|---|---|
| Former Name | AMANDA LARGI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT 092732) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 654833-1) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F339602) | |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2015-07-22 |