| NPI | 1407006828 |
|---|---|
| Former Name | KELLY L. CUNICO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209007570) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-335540) |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2014-11-26 |