| NPI | 1699086355 |
|---|---|
| Former Name | MARA O'BRIEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD162212) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60671167) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2026-03-04 |