| NPI | 1902972524 |
|---|---|
| Former Name | ANGELA MARIE KASTL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085003225) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 1284) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2025-10-07 |