| NPI | 1275876831 |
|---|---|
| Former Name | BERNADETTE MARIE HALLOWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP012405) |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2014-08-21 |