NPI | 1477943801 |
---|---|
Former Name | AMANDA MARIE BRIGALLI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172188) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95001802) |
Enumeration Date | 2015-01-22 |
Last Update Date | 2023-11-27 |