| NPI | 1427738194 |
|---|---|
| Former Name | ANGELA R ZENKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 11799) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MT 217290) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MT 217290) | |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2024-09-09 |