| NPI | 1689192718 |
|---|---|
| Former Name | ANGELA LYNN MAIR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OK R0095932) |
| Enumeration Date | 2017-09-09 |
| Last Update Date | 2024-10-22 |