NPI | 1417482001 |
---|---|
Former Name | ANGELA PACHLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9280521) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9280521) |
Enumeration Date | 2017-04-20 |
Last Update Date | 2019-11-12 |