NPI | 1780795450 |
---|---|
Former Name | ANGELA SURFACE ABDI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN7149) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN RN0000104084) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2013-07-18 |