NPI | 1740417286 |
---|---|
Former Name | AMANDA M SILVERIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IL 125059230) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-240236) |
Enumeration Date | 2009-06-11 |
Last Update Date | 2021-12-16 |