NPI | 1750430971 |
---|---|
Former Name | KATHLEEN ANN NELLIGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP006387B) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN275561L) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2007-08-01 |