NPI | 1275608432 |
---|---|
Former Name | ANGELA MEADOWS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209005373) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209005373) |
Enumeration Date | 2006-11-22 |
Last Update Date | 2025-03-02 |