| NPI | 1780215699 |
|---|---|
| Other Name | KATIE ANGELES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA 95015701) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: CA 818775) |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-11-05 |