| NPI | 1992539258 |
|---|---|
| Former Name | ANGELA MARIE HALL, WIREMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KY 1104058) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2024-09-09 |