NPI | 1912466756 |
---|---|
Former Name | CECILIA ANNE QUIGLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209.019027) |
Enumeration Date | 2019-03-19 |
Last Update Date | 2022-06-15 |