| NPI | 1801507116 |
|---|---|
| Former Name | COLLEEN KONDELIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209026853) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: IL 041355495) |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2023-03-03 |