| NPI | 1518409143 |
|---|---|
| Former Name | ANGELA BLOKZYL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA SP016807) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN561360) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2021-03-23 |