NPI | 1154319440 |
---|---|
Former Name | JULIE A FITZSIMONS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD09468) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 220972) |
Enumeration Date | 2005-10-11 |
Last Update Date | 2024-10-18 |