NPI | 1366623704 |
---|---|
Other Name | ANGELA FAY MATA-ANGELOCCI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301086164) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35097933) |
Enumeration Date | 2007-11-14 |
Last Update Date | 2014-06-25 |