| NPI | 1699959148 |
|---|---|
| Former Name | VIBE PEARL L GUILLERGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209006841) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209006841) |
| 163W00000X Registered Nurse (Licence: IL 41286442) | |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2017-04-21 |