NPI | 1720001324 |
---|---|
Former Name | ANGELINA E. THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP641651) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 641651) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2018-01-10 |