| NPI | 1659306470 |
|---|---|
| Other Name | MARY TRAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 23079) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R106262) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2023-12-08 |