| NPI | 1407630395 |
|---|---|
| Former Name | MARCIE M WARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2023034366) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2013035981) |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2025-10-15 |