NPI | 1063434926 |
---|---|
Other Name | MARY JANE R. LABEREE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C50000431) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DE c5-0000431) |
Enumeration Date | 2006-07-23 |
Last Update Date | 2012-04-06 |