NPI | 1346336351 |
---|---|
Former Name | PATRICIA DALY SANDAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: GA RN084392) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN165713) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2011-06-23 |