| NPI | 1083611057 |
|---|---|
| Former Name | MARY C STANTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX V8574) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-1905) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2025-05-28 |