| NPI | 1386461721 |
|---|---|
| Former Name | AMANDA ROSE FERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NY 689755) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: NY 689755) |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-09-25 |