| NPI | 1689348922 |
|---|---|
| Former Name | KATHLEEN ANNE MCKINNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209023016) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 041412667) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209023016) | |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2023-05-16 |