NPI | 1730685959 |
---|---|
Former Name | ANGELA LYNN GARCIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2018026932) |
Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: MO MO135175) |
Enumeration Date | 2018-04-05 |
Last Update Date | 2020-12-10 |