| 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 |