| NPI | 1033589973 |
|---|---|
| Former Name | MARIAH L OWEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3009738) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 1134214) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2025-08-15 |