| NPI | 1821298118 |
|---|---|
| Former Name | ANGELENE MINER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A96723) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX P2025) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 319259) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 11759) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD216339) | |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2025-12-01 |