| NPI | 1790265064 |
|---|---|
| Former Name | ANGELA ROSE DEVILLERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 7263) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2023-01-31 |