| NPI | 1992107031 |
|---|---|
| Former Name | CLAIRE E FITZGERALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 6242) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.011785) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2018-06-08 |