| NPI | 1518395854 |
|---|---|
| Former Name | MARY VERDIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN248115) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 272967) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.15224-NP) | |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2020-04-14 |