| NPI | 1669858890 |
|---|---|
| Former Name | MARY MARGARET HEGERTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71005847A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28080466A) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2023-09-28 |