NPI | 1508822420 |
---|---|
Former Name | AMY E FOUNTAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 215894) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 215894) |
Enumeration Date | 2006-04-21 |
Last Update Date | 2024-07-10 |