| NPI | 1639307432 |
|---|---|
| Other Name | MARY JEAN LOCKARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 18984) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP18984) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2025-02-07 |