| NPI | 1467289900 |
|---|---|
| Former Name | ANTONETTE CELINE ILLIANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0102X Registered Nurse, Maternal Newborn (Licence: MD R196954) |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-09-18 |