NPI | 1508822420 |
---|---|
Other Name | AMY ELIZABETH FOUNTAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NC 2024-01118) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 215894) |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 215894) | |
Enumeration Date | 2006-04-21 |
Last Update Date | 2025-01-09 |