Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | SP010492 | PA |
NPI | 1013231398 |
---|---|
Provider Name | Mrs. Lynn B Wolff |
First Address | Paoli, PA 19301-1763 |
Second Address | Paoli, PA 19301-1763 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2010 |
Last Update Date | 22/10/2015 |