| NPI | 1629091731 |
|---|---|
| Other Name | MARLYN ANN PRO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP00016) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R06743) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2024-08-22 |