| NPI | 1235441957 |
|---|---|
| Former Name | MARINA D MAHLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MA RN186337) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: VT 026-0067831) |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2011-10-07 |