| NPI | 1194131714 |
|---|---|
| Former Name | ANGELA JAYNE BARTOSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 30243) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11014691) |
| 363L00000X Nurse Practitioner (Licence: MI 4704272407) | |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2022-11-17 |