NPI | 1609236694 |
---|---|
Former Name | ANGELA JOYCE HLADIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R102261) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OK R0102261) |
Enumeration Date | 2016-03-03 |
Last Update Date | 2024-11-12 |