NPI | 1275621666 |
---|---|
Former Name | ANGELA L. STONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101233484) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA C55848) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2022-11-09 |