| 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 |