| NPI | 1760954754 |
|---|---|
| Former Name | KARESA A MCPHOY-PHILIPPEAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 343734) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308019) |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2023-03-07 |