NPI | 1558780486 |
---|---|
Former Name | AMANDA STEFANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD464294) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD464294) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-08 |
Last Update Date | 2024-07-31 |