| NPI | 1528250123 |
|---|---|
| Former Name | COLLEEN FRANCES REILLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TN APN12603) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 11028942) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2023-10-16 |