| NPI | 1871946822 |
|---|---|
| Former Name | MARY CLARE MCFADDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.019560) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH RN.384323) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2018-04-11 |