NPI | 1093021990 |
---|---|
Former Name | CATHLEEN CLOHERTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209008184) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.008184) |
Enumeration Date | 2010-08-30 |
Last Update Date | 2024-08-27 |