| NPI | 1790739951 |
|---|---|
| Former Name | ANNE MARIE DOUGLAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-803A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP1816) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2009-06-16 |