NPI | 1093769150 |
---|---|
Other Name | MARY K MCDONALD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A93619) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00042460) |
207Q00000X Family Medicine (Licence: MT 9933) | |
207Q00000X Family Medicine (Licence: ND 9247) | |
Enumeration Date | 2006-05-20 |
Last Update Date | 2012-06-29 |