| NPI | 1942743471 |
|---|---|
| Former Name | CARISSA CONSTANTINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 346556) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP4919) |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2025-12-08 |