| NPI | 1780672840 |
|---|---|
| Former Name | ANGELA ANDERSON MCMAHON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN117269) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN117269) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2023-12-01 |