| NPI | 1457551525 |
|---|---|
| Former Name | ANGELA C EWING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: MO 2012034937) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: TN 12831) |
| 363LN0000X Nurse Practitioner Neonatal (Licence: KS 76879) | |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2016-03-03 |