| 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 |