| NPI | 1609153758 |
|---|---|
| Former Name | MARY JANE LENHARDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008527) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 336910) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2018-03-17 |