| NPI | 1699753277 |
|---|---|
| Former Name | MARY KATHERINE HANNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 663246) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2011-03-03 |