| NPI | 1396296331 |
|---|---|
| Former Name | MARY RISINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2023020074) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2016036971) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2023-06-28 |