| NPI | 1861684904 |
|---|---|
| Former Name | ANGELA MARIE TRUMM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA C105778) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA 105778) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2016-10-12 |