| NPI | 1730504119 |
|---|---|
| Former Name | MARY M MCDONOUGH-SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2001016540) |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2021-02-17 |