| NPI | 1033646773 |
|---|---|
| Other Name | MARY ANN AVILA CANTORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015285) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041354359) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2022-07-19 |