| NPI | 1801289871 |
|---|---|
| Former Name | AMBER MARIE CUELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277000165) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.012113) |
| 163W00000X Registered Nurse (Licence: IL 041.377167) | |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2022-10-31 |