| NPI | 1588755078 |
|---|---|
| Former Name | MARY ELIZABETH BRAUN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN966-402) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71004290B) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2014-01-31 |