| NPI | 1871814194 |
|---|---|
| Former Name | ANGELA TRACY SCHACHT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 40668) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R8880) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2018-04-10 |