| NPI | 1558780486 |
|---|---|
| Former Name | AMANDA STEFANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD464294) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD464294) | |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2018-12-03 |