| NPI | 1265793319 |
|---|---|
| Former Name | ANN MARIE MATAKAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-03502) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 691067) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2018-06-14 |