| NPI | 1417915950 |
|---|---|
| Former Name | ANGELA L PETERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WY 550) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 10062) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2021-05-24 |