| NPI | 1952873515 |
|---|---|
| Former Name | ANGELINA LAFORTEZA BAILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61029318) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60337451) |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2023-05-25 |