| NPI | 1134475759 |
|---|---|
| Former Name | ANGELA D MCMAHON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277000127) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 277000127) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209009641) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 277000127) | |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2023-04-04 |