| NPI | 1669884243 |
|---|---|
| Former Name | JUDY ANN LARUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NY F430803) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 430803) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2021-05-25 |