| NPI | 1043843857 |
|---|---|
| Former Name | TERRA JUDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 310048) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 2020037362) |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2021-12-13 |