NPI | 1023174604 |
---|---|
Former Name | ANGELA WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP115182) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 677222) |
Enumeration Date | 2006-12-28 |
Last Update Date | 2024-02-12 |