NPI | 1891476313 |
---|---|
Former Name | AMANDA ELIZABETH SAWASKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11025709) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11025709) |
Enumeration Date | 2023-07-27 |
Last Update Date | 2023-08-08 |