| NPI | 1083910210 |
|---|---|
| Other Name | JO MARIE BULLICER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 336490) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 541472) |
| Enumeration Date | 2011-02-05 |
| Last Update Date | 2011-02-05 |