| NPI | 1861777567 |
|---|---|
| Former Name | ANGELA COLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9118352) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 08504082) |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2025-02-26 |