| NPI | 1568863116 |
|---|---|
| Former Name | MARYJANE SPOTTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: PA CNS000075) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: PA RN279154L) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2014-09-16 |