| NPI | 1710482096 |
|---|---|
| Former Name | VANETTA LUKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 343255) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 648837) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2021-03-23 |