| NPI | 1104808393 |
|---|---|
| Former Name | ANNE MARIE NIMMICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 110154) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 43239) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2012-01-23 |