| NPI | 1689876450 |
|---|---|
| Former Name | KATHLEEN MARIE CRODICK MCCAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NC 126654) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2007-07-08 |