NPI | 1669412052 |
---|---|
Former Name | MARY ELIZABETH HANDLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL I-085233) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R213146-9) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2019-05-07 |