| NPI | 1861948150 |
|---|---|
| Former Name | RACQUEL RYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 340964) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F340964) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2022-10-25 |