NPI | 1841896099 |
---|---|
Former Name | COLLEEN MARIE MCARDLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95016078) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA 95016078) |
Enumeration Date | 2020-12-11 |
Last Update Date | 2025-09-16 |