| NPI | 1841374261 |
|---|---|
| Former Name | MARY MARGARET NAHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD AC000300) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024129639) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |