| NPI | 1588833149 |
|---|---|
| Former Name | ANGELA MARIE O'CONNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 6078-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 142527-030) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2018-11-29 |