NPI | 1902355498 |
---|---|
Former Name | MARY ALLEMANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA 237601) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KS 77447) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2016036671) | |
Enumeration Date | 2016-09-26 |
Last Update Date | 2024-10-14 |