| NPI | 1407510506 |
|---|---|
| Former Name | ANGELA MUNDINAC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11482-33) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 11482-33) |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2025-08-21 |