| NPI | 1659075190 |
|---|---|
| Former Name | ANGELINA MARIE HOLDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: UT 9009669-4405) |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2023-03-29 |