| NPI | 1942338124 |
|---|---|
| Former Name | MARY JONES PARKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F380225-1) |
| Additional Taxonomies | 261QS1000X Clinic/Center, Student Health (Licence: NY F380225-1) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2009-03-29 |