| NPI | 1114002805 |
|---|---|
| Former Name | MARY D HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: UT 199301-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 199301-4405) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2009-10-20 |