| NPI | 1902557440 |
|---|---|
| Other Name | ANGIE K MAXSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP70000675) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA OL61430539) |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2025-09-09 |