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 |