| NPI | 1285864256 |
|---|---|
| Former Name | MARY B FITZMAURICE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277000511) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 277000511) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2021-12-01 |