| NPI | 1629728498 |
|---|---|
| Former Name | MARY ELIZABETH HUNSUCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 31571) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 219798) |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2022-06-17 |