| NPI | 1881438372 | 
|---|---|
| Former Name | ABBEY DEGEN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 354753)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 786733)  | 
| Enumeration Date | 2024-06-20 | 
| Last Update Date | 2024-11-11 |