NPI | 1124251954 |
---|---|
Former Name | JEAN MOORTHY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D74096) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 241491) |
Enumeration Date | 2009-08-27 |
Last Update Date | 2021-06-11 |