| NPI | 1437579083 |
|---|---|
| Former Name | MARY IBARRA |
| Other Name | MARY IBARRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 20030) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 95980) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2021-09-22 |