| NPI | 1447271564 |
|---|---|
| Former Name | MARY JO SENTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP2518) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ RN096578) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2019-01-30 |