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 |