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 |