NPI | 1902673916 |
---|---|
Other Name | LISA FAYE MENDELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 275375) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 275375) |
Enumeration Date | 2023-12-08 |
Last Update Date | 2023-12-08 |