| NPI | 1407048523 |
|---|---|
| Former Name | SANDRA M NEMBHARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F334908-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 440644) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2020-10-12 |