| NPI | 1518392752 |
|---|---|
| Former Name | ANN MARIE RECORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 267800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 5444) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2022-06-20 |