| NPI | 1962487710 |
|---|---|
| Former Name | MARY KAY WEBB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP4926) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN319014) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2007-07-17 |