NPI | 1417264292 |
---|---|
Other Name | ANGELA MARIE MONTECINO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN221722) |
Additional Taxonomies | 282NC0060X General Acute Care Hospital, Critical Access (Licence: GA RN2211722) |
Enumeration Date | 2010-09-01 |
Last Update Date | 2018-11-27 |