| NPI | 1689028763 |
|---|---|
| Former Name | ANGELA M CHRISTOPHERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SD CP001069) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: SD CP001069) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: SD CP001069) | |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2022-12-29 |