| NPI | 1881874436 |
|---|---|
| Former Name | ANGELA DURHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A111015) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA 111015) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2020-11-11 |