NPI | 1013164714 |
---|---|
Former Name | ANGINETTE RICHELLE HULL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11000743) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001244307) |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024169732) | |
Enumeration Date | 2008-08-25 |
Last Update Date | 2020-10-19 |