| NPI | 1962820100 |
|---|---|
| Former Name | COLLEEN QUINN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT MED-PHYS-LIC-82860) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 295871) |
| 207Q00000X Family Medicine (Licence: IL 036142994) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2021-04-29 |