| NPI | 1760917579 |
|---|---|
| Former Name | ANGELA OKONTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 54393) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 10060) |
| 363A00000X Physician Assistant (Licence: WA PA61492457) | |
| Enumeration Date | 2017-04-30 |
| Last Update Date | 2024-02-05 |