| NPI | 1992430409 |
|---|---|
| Other Name | ANGELICA TYLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11020320) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-07-19 |