| NPI | 1801366646 |
|---|---|
| Former Name | KERIN ELIZABETH GILLIGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 007963) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT F09181069) |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2022-09-08 |