| NPI | 1437624087 |
|---|---|
| Former Name | AMANDA GRASSO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02705) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015976) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 7804) | |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2021-11-12 |