| NPI | 1063693950 |
|---|---|
| Former Name | ANGELA PAULETTE NEWMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 4060) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 135940) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2020-07-20 |