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 |