| NPI | 1114980596 |
|---|---|
| Former Name | ANN MARIE TUCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 200615) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 200615) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2012-10-02 |