NPI | 1477715308 |
---|---|
Former Name | JULIET ANNE D'ANGELO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NM MD2012-0219) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL2869) |
Enumeration Date | 2008-07-01 |
Last Update Date | 2015-04-20 |