NPI | 1700962719 |
---|---|
Former Name | MARY JANE BONDI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN164074L) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA UP005267B) |
Enumeration Date | 2006-10-31 |
Last Update Date | 2007-07-08 |