| NPI | 1811394422 |
|---|---|
| Former Name | ANGELA J FOLSOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: KS 76499) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MO 2014042052) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2023-10-23 |