| 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 |