NPI | 1841207552 |
---|---|
Former Name | ANN MARIE PROM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP2747102) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 2747102) |
Enumeration Date | 2006-08-02 |
Last Update Date | 2016-02-09 |