NPI | 1790243657 |
---|---|
Former Name | ANGELICA MARIA PAULSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11027686) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011219) |
Enumeration Date | 2019-03-08 |
Last Update Date | 2024-08-23 |