NPI | 1649851759 |
---|---|
Other Name | ANGELA MARIE MASSOUD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2023-03148) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC MASS-BNFV19) |
Enumeration Date | 2021-04-20 |
Last Update Date | 2024-07-29 |