NPI | 1417334558 |
---|---|
Former Name | ANGELA MARIE PAPPAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 840059) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 840059) |
261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care (Licence: CA 840059) | |
Enumeration Date | 2015-04-28 |
Last Update Date | 2015-04-28 |