NPI | 1295183226 |
---|---|
Other Name | AMI PEARL BELMONT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 65019) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CT 65019) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-05-31 |
Last Update Date | 2020-05-08 |