NPI | 1285805655 |
---|---|
Former Name | MARGUERITE A CLOHISY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IL 209.005047) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209005047) |
Enumeration Date | 2008-03-13 |
Last Update Date | 2020-10-30 |