| NPI | 1538669270 |
|---|---|
| Former Name | EUSTACIER SPENCER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 344221) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 645145) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2023-11-27 |