NPI | 1306399738 |
---|---|
Former Name | SABRINA DEANGELO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95020798) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.19222) |
363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.19222) | |
Enumeration Date | 2016-08-02 |
Last Update Date | 2022-11-03 |