| NPI | 1477206563 |
|---|---|
| Former Name | MARY CATHLEEN VON BURG BENEFEITO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 570291) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95020919) |
| 363L00000X Nurse Practitioner (Licence: ID 72035) | |
| Enumeration Date | 2022-01-30 |
| Last Update Date | 2023-06-27 |