| NPI | 1629530985 |
|---|---|
| Former Name | ELISE KUSCHE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY F309049) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 650130) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F309049) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F309049) | |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2021-06-07 |