NPI | 1679733158 |
---|---|
Former Name | ANGELA C DAGES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NR06905900) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA UP006299M) |
Enumeration Date | 2008-06-10 |
Last Update Date | 2023-11-29 |