| NPI | 1275237513 |
|---|---|
| Former Name | ANGELLA GONZALEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IA 127288) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: IA 127288) |
| 163WS0200X Registered Nurse, School (Licence: IA 127288) | |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2023-03-29 |