| NPI | 1356095186 |
|---|---|
| Former Name | ANGEL VICTORIA VANCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV 111994) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 85728) |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2022-02-10 |