| NPI | 1275670523 |
|---|---|
| Former Name | MARY ELLEN MCLAUGHLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 7462) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 47075) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2023-05-05 |