| 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 |