| 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 |