NPI | 1861721391 |
---|---|
Former Name | ANGELA KELLY STEELE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 642) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: SC 642) |
Enumeration Date | 2009-12-11 |
Last Update Date | 2015-08-28 |