NPI | 1083689301 |
---|---|
Former Name | DEBRA A. DEANGELO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA OS008200L) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA OS088200L) |
207L00000X Anesthesiology (Licence: PA BS3705374) | |
Enumeration Date | 2006-02-21 |
Last Update Date | 2024-12-18 |