| NPI | 1972920437 |
|---|---|
| Former Name | PHYLLIS O'CONNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: VA 0001104850) |
| Enumeration Date | 2014-03-23 |
| Last Update Date | 2014-03-23 |