| NPI | 1598087363 |
|---|---|
| Former Name | SUSAN MARTELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 401234) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F381822-1) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F381822-1) | |
| 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: NY f381822) | |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2020-03-23 |