| NPI | 1982709242 |
|---|---|
| Former Name | JACQUELINE PATRICIA CARTABUKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F303629) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2022-07-21 |