| NPI | 1083935753 |
|---|---|
| Former Name | ANGELA DAWN LUCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9448794) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5004708) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9448794) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2021-09-03 |