NPI | 1821094111 |
---|---|
Former Name | ANGELA SITZ LADD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN7706) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 7706) |
Enumeration Date | 2005-06-22 |
Last Update Date | 2023-03-31 |