NPI | 1891568028 |
---|---|
Former Name | AMANDA MARIE MARASCHIELLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405292) |
Enumeration Date | 2023-10-31 |
Last Update Date | 2023-12-03 |