| NPI | 1013258193 |
|---|---|
| Former Name | MARY ELIZABETH FAIRCHILDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: SC 18055) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL APRN11023774) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2023-03-01 |