| NPI | 1518372564 |
|---|---|
| Former Name | KIMBERLY ANN EGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 141429-30) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: IL 209.011586) |
| 163W00000X Registered Nurse (Licence: IL 041.420544) | |
| Enumeration Date | 2014-06-29 |
| Last Update Date | 2015-08-24 |