| NPI | 1588979306 |
|---|---|
| Former Name | KATRINA MARGARET CIRILLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 2397795) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704285871) |
| 363L00000X Nurse Practitioner (Licence: OH 11676) | |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2017-11-21 |