| NPI | 1831149392 |
|---|---|
| Former Name | MARY KATHERINE MERCADO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9243546) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9422930) |
| 363L00000X Nurse Practitioner (Licence: GA RN133916) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-06-23 |