| NPI | 1770650814 |
|---|---|
| Former Name | SHIRLEY ANN SKINNER MCCANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277000622) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209002822) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IL 209002822) | |
| 163W00000X Registered Nurse (Licence: IL 041147153) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2022-06-15 |