| NPI | 1619426822 |
|---|---|
| Former Name | ANGELA K. DUGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.000720) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.376211) |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2021-01-25 |