| NPI | 1902054182 |
|---|---|
| Former Name | ANGELA KELLIHER MANCUSO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A112586) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A112586) |
| 207L00000X Anesthesiology (Licence: MD D0081313) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD D0081313) | |
| Enumeration Date | 2008-08-30 |
| Last Update Date | 2016-11-09 |