NPI | 1497074207 |
---|---|
Former Name | ANGELA SHEREE WEST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 662468) |
Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: TX 662468) |
Enumeration Date | 2010-05-19 |
Last Update Date | 2010-05-19 |