| NPI | 1407456882 |
|---|---|
| Former Name | AMANDA N DESALVO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP022730) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP022730) |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2024-09-12 |