| NPI | 1285974238 |
|---|---|
| Former Name | MARY BOETTCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4855) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ AP4855) |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2023-05-08 |