NPI | 1588484919 |
---|---|
Other Name | BONNIE CARRICK-DEITCHMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 605866) |
Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 605866) |
Enumeration Date | 2024-10-11 |
Last Update Date | 2024-10-11 |