NPI | 1679058614 |
---|---|
Former Name | ANGELA CHRISTINA LEGGETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN185946) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 11081) |
Enumeration Date | 2018-09-25 |
Last Update Date | 2022-11-03 |