NPI | 1417394875 |
---|---|
Former Name | ANGELA F BEDGOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 22790) |
Additional Taxonomies | 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: CA 498359) |
Enumeration Date | 2013-05-25 |
Last Update Date | 2013-05-25 |