NPI | 1326576653 |
---|---|
Former Name | ANGELA BETH FLEMING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN155985) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA1435) |
Enumeration Date | 2017-05-31 |
Last Update Date | 2020-09-25 |