NPI | 1114172368 |
---|---|
Former Name | ANGELA F ARMOUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 1501255) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: KS T-02258) |
363A00000X Physician Assistant (Licence: SC 4169) | |
Enumeration Date | 2008-12-01 |
Last Update Date | 2023-08-08 |