NPI | 1366779704 |
---|---|
Former Name | ANGELA P WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 14567) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 108827) |
Enumeration Date | 2009-11-05 |
Last Update Date | 2022-04-22 |