| NPI | 1841392206 |
|---|---|
| Other Name | MARY LU EGIDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 74564) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: KS 14-57857-101) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2017-01-23 |