| NPI | 1013062009 |
|---|---|
| Former Name | MARLENE MARY EDDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71000629A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71000629A) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2023-03-07 |