| NPI | 1962525840 |
|---|---|
| Former Name | MARY ANN MITZEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: SD CP000097) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD R014468) |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2011-10-14 |