| NPI | 1447455217 | 
|---|---|
| Former Name | ANNE MARIE OMALLEY | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID NP-927A)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000374)  | 
| Enumeration Date | 2007-06-20 | 
| Last Update Date | 2016-12-13 |