| NPI | 1912923962 |
|---|---|
| Former Name | ALEITA ELLEN KANGAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 672321) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX F0705052) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2022-07-21 |