NPI | 1962625756 |
---|---|
Former Name | EVELYN ANGEL JAMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209-012889) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 16838) |
367A00000X Advanced Practice Midwife (Licence: IL 209-012888) | |
Enumeration Date | 2007-04-10 |
Last Update Date | 2022-07-21 |