| NPI | 1356352512 |
|---|---|
| Former Name | MARY O'NEILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-004031) |
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: IL 209-004031) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2023-06-30 |