| NPI | 1609127133 |
|---|---|
| Former Name | MARY ANN JANICE MALLORCA LAUDICO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1070399) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 22374) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2024-09-26 |