NPI | 1952894578 |
---|---|
Former Name | ANGELA I STRAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 157384) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 8651-33) |
Enumeration Date | 2018-06-08 |
Last Update Date | 2023-03-15 |