| NPI | 1952484933 |
|---|---|
| Former Name | MARY ELIZABETH HENNESSY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 067423) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: AK 13138) |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 13138) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2018-01-03 |