| NPI | 1538740741 |
|---|---|
| Other Name | MARY NICOLE PALLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704319268) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704319268) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2023-06-14 |