| NPI | 1811240518 |
|---|---|
| Former Name | ANGELA DAWN KAKALEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9106417) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110004576) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2023-03-06 |