| 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 |