Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 12066 | CA |
NPI | 1033444161 |
---|---|
Provider Name | Margaret Louise Mcilroy |
First Address | Lancaster, CA 93536-6007 |
Second Address | Lancaster, CA 93534 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/10/2009 |
Last Update Date | 21/08/2018 |