NPI | 1043674161 |
---|---|
Former Name | LIA FUSCO STEWART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD61242806) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.148545) |
Enumeration Date | 2016-04-06 |
Last Update Date | 2022-06-27 |