Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | SP006275C | PA |
NPI | 1003213307 |
---|---|
Provider Name | Miss Linda R Dalo |
First Address | Philadelphia, PA 19107-1500 |
Second Address | Drexel Hill, PA 19026-1129 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2014 |
Last Update Date | 02/12/2014 |