NPI | 1811496144 |
---|---|
Former Name | MARY KATE MALONEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F342496-1) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F342496-01) |
Enumeration Date | 2018-02-01 |
Last Update Date | 2024-06-11 |