| NPI | 1861737892 |
|---|---|
| Former Name | ANGELA LYNN CALHOUN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN 9183723) |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2024-08-09 |