| NPI | 1114316189 |
|---|---|
| Former Name | ERIN MORAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209011576) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209011576) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2022-08-15 |