| NPI | 1376032250 |
|---|---|
| Former Name | ANGELLIE PHEAP DAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209015860) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041349825) |
| Enumeration Date | 2018-05-06 |
| Last Update Date | 2022-07-06 |