| NPI | 1326566811 |
|---|---|
| Former Name | MARILYN HELENE ROYSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 6236) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95140380) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2022-10-04 |