| NPI | 1215294764 |
|---|---|
| Professional Name | MARY KAY SHAW THRASH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AL 1-025143) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2014-03-06 |