| NPI | 1588234900 |
|---|---|
| Former Name | MARY DOLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 072969-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 072969-21) |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2023-07-21 |