| NPI | 1639128739 |
|---|---|
| Former Name | VIRGINIA JEAN ANGERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R122264) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71003108A) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 381890) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71003108B) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2021-09-01 |