| NPI | 1073978839 |
|---|---|
| Former Name | ANGEL BOISSEAU, MARTIN, WAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 829703) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AK 36717) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2022-10-14 |