| NPI | 1902557440 |
|---|---|
| Other Name | ANGIE K MAXSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA OL61430539) |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2024-06-13 |