| NPI | 1457966376 |
|---|---|
| Former Name | ANGELA M SHEARON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10003079A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ID 3771758) |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2025-05-21 |