| NPI | 1033358072 |
|---|---|
| Former Name | MARY T GEORGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 5720P) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3005720) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 5720P) | |
| Enumeration Date | 2009-02-16 |
| Last Update Date | 2016-11-21 |