| NPI | 1275588261 |
|---|---|
| Former Name | LYNETTE J FAHNESTOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ME 1711) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2012-08-17 |