| NPI | 1356667927 |
|---|---|
| Former Name | COLLEEN O SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: FL ARNP9167802) |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2012-04-06 |