NPI | 1821513672 |
---|---|
Former Name | AMANDA MARIE SAVONA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F342073-1) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 342073) |
Enumeration Date | 2017-08-12 |
Last Update Date | 2024-07-22 |