| NPI | 1487084919 |
|---|---|
| Former Name | ANGELA NEELEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71004649A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28136477A) |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2023-04-19 |