| NPI | 1255633954 |
|---|---|
| Former Name | PATRICIA A MORIARTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-002518) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IL 041-190409) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |