| NPI | 1063718856 |
|---|---|
| Former Name | CHRISTY LYNN TRAVENY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP011132) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN523487L) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2023-01-24 |