| NPI | 1043473853 |
|---|---|
| Former Name | ANGELA MICHELLE CRICCHIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 21790) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 654241) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2014-10-02 |