| NPI | 1568456135 |
|---|---|
| Professional Name | MARYALICE NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL ARNP 1850332) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2013-08-05 |