| NPI | 1265802227 |
|---|---|
| Former Name | ANGELA LEIGH WICKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 25023.APN.RX) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP 2944902) |
| Enumeration Date | 2015-10-03 |
| Last Update Date | 2022-12-22 |