| NPI | 1629580428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL MARY HLAVINKA Office Manager 610-730-8025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP017592) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2017-11-02 |