| NPI | 1760883698 |
|---|---|
| Former Name | MARY H SNYDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 5989-33) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WI 155208-30) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2022-09-12 |