NPI | 1518495472 |
---|---|
Former Name | ANGELA BUCHANAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1076110) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5010746) |
163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: GA RN240807) | |
363LF0000X Nurse Practitioner, Family (Licence: GA F05170441) | |
Enumeration Date | 2017-05-23 |
Last Update Date | 2024-06-26 |