NPI | 1376735159 |
---|---|
Former Name | NANCY GALLAGHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71001206A) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 28095272A) |
Enumeration Date | 2007-08-15 |
Last Update Date | 2020-11-23 |