| NPI | 1477790947 |
|---|---|
| Former Name | MARY ANN SHOEMAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: AZ RN024376) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2009-01-20 |