| NPI | 1982663001 |
|---|---|
| Former Name | MARY A RONALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD165012) |
| Additional Taxonomies | 207QA0401X Family Medicine Addiction Medicine (Licence: OR MD165012) |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2015-04-21 |