| NPI | 1457788291 |
|---|---|
| Former Name | MARY LOUISE CHERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5006521) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 216167) |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2022-04-11 |