| NPI | 1609967454 |
|---|---|
| Former Name | MARY R GEORGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 579774) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP2581032) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2008-10-09 |