| NPI | 1043406150 |
|---|---|
| Former Name | ANGELA GIANCOLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME108749) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 245993) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2013-05-06 |