Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | SP010595 | PA |
NPI | 1275862518 |
---|---|
Provider Name | Ms. Christine Delise Franciscovich |
First Address | Philadelphia, PA 19136-2215 |
Second Address | Philadelphia, PA 19104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2009 |
Last Update Date | 08/07/2013 |