| NPI | 1801638770 |
|---|---|
| Former Name | MARY ELIZABETH PACE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 907627) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 916921) |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2025-09-30 |