| NPI | 1285086611 |
|---|---|
| Former Name | MARY ELIZABETH BREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 62787) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7670) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2022-07-21 |