| NPI | 1639377989 |
|---|---|
| Former Name | MARY JENNIFER TERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NE 1086) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 5101017300) |
| 207L00000X Anesthesiology (Licence: MI 1145439) | |
| Enumeration Date | 2007-07-09 |
| Last Update Date | 2018-01-09 |