| NPI | 1043996911 |
|---|---|
| Former Name | MARY LEE ABOULHOSN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 4004705) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4005705) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4004705) | |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2024-05-06 |