| 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 |