| NPI | 1982915666 |
|---|---|
| Former Name | KARA GILLICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 088288) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CT 088288) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2015-05-12 |