| NPI | 1649607706 |
|---|---|
| Former Name | ANGELINA ELLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 808115) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: TX E1271590) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-10-03 |