NPI | 1619306362 |
---|---|
Former Name | COLLEEN MARGARET MCGUIRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.010761) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041369961) |
Enumeration Date | 2013-11-04 |
Last Update Date | 2018-06-20 |