NPI | 1548501968 |
---|---|
Former Name | ANNE MARIE MANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60407635) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704290995) |
Enumeration Date | 2013-03-11 |
Last Update Date | 2023-02-21 |