| NPI | 1700236593 |
|---|---|
| Former Name | MARY LAUREN MAGARGEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024174591) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 701859-1) |
| 163W00000X Registered Nurse (Licence: VA 0001267841) | |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2018-01-31 |