| NPI | 1730459033 |
|---|---|
| Former Name | ANGELA LEE CLEGG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0990680) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 718199) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 20808) | |
| 163W00000X Registered Nurse (Licence: CO 1619612) | |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2014-09-09 |