| NPI | 1376622845 |
|---|---|
| Former Name | MARY FRANCES FOSNOT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 5467) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 001807) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2014-05-21 |