| NPI | 1699903070 |
|---|---|
| Former Name | MAURITA SUE MCKAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MN CNP2303) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 1694512) |
| 363LF0000X Nurse Practitioner Family (Licence: MN 2009006108) | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2022-11-23 |