| NPI | 1346744711 |
|---|---|
| Former Name | ANGELINE MARIE MODESTI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34.014129) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2021-06-30 |