| NPI | 1598292229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA A MOSS Nurse Practitioner 215-955-8435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP007945) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA VP005103D) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |