| NPI | 1871785212 |
|---|---|
| Former Name | VIDA O MCCUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F304309-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 493926) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2007-08-09 |