| NPI | 1881675353 |
|---|---|
| Former Name | PATRICIA ANN REARDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0600X Registered Nurse, Gerontology (Licence: PA RN166923L) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP003860B) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2007-07-08 |