NPI | 1841861473 |
---|---|
Former Name | MARY CATHERINE MARASA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R206899) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61206676) |
363LF0000X Nurse Practitioner, Family (Licence: WA AP61206676) | |
Enumeration Date | 2021-07-06 |
Last Update Date | 2023-01-25 |