| NPI | 1619041233 |
|---|---|
| Former Name | MARY J. FERENCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2011-01490) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34006718) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2021-05-08 |