| NPI | 1083991939 |
|---|---|
| Former Name | CHRISTINE M DEANGELO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IL 085004167) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085004167) |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2026-01-07 |