| NPI | 1952550782 |
|---|---|
| Former Name | CYNTHIA MARIE GALLAGHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP009910) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP009910) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2022-10-13 |