| 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 |