| NPI | 1700247822 |
|---|---|
| Former Name | MARY PATRICIA DESIMONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 20841) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 301003) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 301003) | |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2024-08-22 |