| NPI | 1518223023 |
|---|---|
| Former Name | AMANDA ROSE TROMMELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: NJ 25MA10139000) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2018-03-17 |