| NPI | 1699346031 |
|---|---|
| Former Name | MARY KATHERINE MCCRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.0029217) |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2022-01-04 |