NPI | 1235334756 |
---|---|
Former Name | ANGELA L SMERUD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 2599) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R1763825) |
Enumeration Date | 2007-06-15 |
Last Update Date | 2024-06-11 |