| NPI | 1841832839 |
|---|---|
| Former Name | MARY K PARKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-150615) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL F08191080) |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2021-07-19 |