| NPI | 1922738814 |
|---|---|
| Former Name | MARY ANTONNETTE CANO MADDELA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY 556377) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2022-06-14 |