| NPI | 1346631280 |
|---|---|
| Former Name | ANGELA KATHLEEN PRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN CNP 3712) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 188589-7) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MN CNP 3712) | |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2021-03-26 |