| NPI | 1609209766 |
|---|---|
| Former Name | ANGELA JAGOUTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP131068) |
| Additional Taxonomies | 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: ME RN47011) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2024-09-06 |