| NPI | 1710950373 |
|---|---|
| Former Name | MARGARET (PEGGY) ANN MCCANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 908492) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2007-07-13 |