| NPI | 1699832105 |
|---|---|
| Former Name | JOANN SLATTERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: PA TP003811G) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: PA MW008310L) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-09 |