NPI | 1386289007 |
---|---|
Former Name | ELIZABETH CATHERINE SALANDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F346807-01) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 679425) |
Enumeration Date | 2019-11-18 |
Last Update Date | 2021-12-06 |