| NPI | 1952628174 |
|---|---|
| Former Name | ELAINA MARIE RUDOLPH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F336079-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26nj00302200) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2016-07-21 |