NPI | 1710368238 |
---|---|
Former Name | CHRISTINA M. O'SULLIVAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP014973) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0000948) |
Enumeration Date | 2015-06-10 |
Last Update Date | 2023-10-03 |