| NPI | 1568007326 |
|---|---|
| Former Name | ANGELA RITENOUR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9114052) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA OA005045) |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2021-08-11 |