NPI | 1730478173 |
---|---|
Former Name | ANGELLA HALE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 147782) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2011024996) |
Enumeration Date | 2011-04-06 |
Last Update Date | 2020-09-22 |