| NPI | 1770019010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE GIANAN LLC Member 571-331-4622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209004400) |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-05-05 |