NPI | 1003251612 |
---|---|
Former Name | ANGELA JO FERRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KY 3012229) |
Enumeration Date | 2013-05-09 |
Last Update Date | 2023-05-17 |