NPI | 1326003039 |
---|---|
Former Name | ANGELA ALLAN AMUNDSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP2994) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM R56763) |
163W00000X Registered Nurse (Licence: AZ R069860) | |
Enumeration Date | 2006-04-18 |
Last Update Date | 2014-05-14 |