| NPI | 1154555746 |
|---|---|
| Other Name | MARY RIDDELL DEAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 14339) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 143684) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-11 |