| NPI | 1104891779 |
|---|---|
| Former Name | MARY KATHRYN LIPPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 200550127NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OR 000030387N1) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 200550127NP) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2008-12-12 |