NPI | 1205824455 |
---|---|
Professional Name | PATRICE THORNTON PASSIDOMO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 034751) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 175691) |
Enumeration Date | 2005-10-12 |
Last Update Date | 2019-01-29 |