NPI | 1750589636 |
---|---|
Former Name | ANGIE DAHMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 15453) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 200550134NP FNP-PP) |
363LF0000X Nurse Practitioner, Family (Licence: AZ AP7565) | |
Enumeration Date | 2007-07-03 |
Last Update Date | 2018-03-30 |