| NPI | 1669696902 |
|---|---|
| Former Name | NANCY PATRICIA SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH1000X Registered Nurse, Hospice (Licence: SC 17602) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: SC 17602) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |