| NPI | 1194314534 |
|---|---|
| Former Name | KATHLEEN ELIZABETH MCMAHON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN676565) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041488461) |
| 163W00000X Registered Nurse (Licence: MO 2019019049) | |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2021-01-11 |