| NPI | 1790126464 |
|---|---|
| Former Name | ANGELA LINDA MATTOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 700871) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: CA 85677) |
| 163WC1500X Registered Nurse, Community Health (Licence: CA 85677) | |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |