| NPI | 1740227479 |
|---|---|
| Former Name | MARY K MISPLAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MO 100579) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 100579) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2019-05-13 |