| NPI | 1649386624 |
|---|---|
| Former Name | MARY ALICE ARMBRUST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 331828) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 357731) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2023-08-15 |