| NPI | 1073367736 |
|---|---|
| Former Name | ANGELA LEIGH CONNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: MI F04240396) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704357131) |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2024-07-16 |