| NPI | 1023079332 |
|---|---|
| Former Name | ANGELA VICTORIA BURCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OR PA167469) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C0003171) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2022-07-21 |