| NPI | 1972237840 |
|---|---|
| Former Name | MARY CATHERINE GAVIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP029938) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01337200) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP029938) | |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2025-04-15 |