NPI | 1366636417 |
---|---|
Former Name | KATHRYN M KILLEEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: IL 209-004794) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-001891) |
Enumeration Date | 2007-08-31 |
Last Update Date | 2016-06-30 |