| NPI | 1376045609 |
|---|---|
| Former Name | ANGELA HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 147478) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: KS 42972) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2019-01-30 |