| NPI | 1467446245 |
|---|---|
| Former Name | ANGELA MARIE NOVAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CO NP4551) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: CO 168504) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2021-09-13 |