NPI | 1366886293 |
---|---|
Former Name | ANGELA ESTEP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201508262NP-PP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201142795RN) |
Enumeration Date | 2013-04-22 |
Last Update Date | 2019-04-16 |