NPI | 1063752129 |
---|---|
Former Name | ANN MARIE MALONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 429) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R1718812) |
Enumeration Date | 2013-02-26 |
Last Update Date | 2020-10-01 |