NPI | 1770374571 |
---|---|
Former Name | ANGELA PELISSERO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: AZ RN194792) |
Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: AZ L316856) |
Enumeration Date | 2025-05-13 |
Last Update Date | 2025-05-13 |