| NPI | 1417143660 |
|---|---|
| Former Name | AMANDA COSTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101254478) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101254478) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2023-08-16 |