| NPI | 1649377540 |
|---|---|
| Former Name | ANGELA MARIE MICHOLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: UT 61429451205) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-03-05 |