NPI | 1538367198 |
---|---|
Former Name | PATRICIA MARIE MENTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ 25MB08669700) |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CT 051165) |
Enumeration Date | 2007-07-05 |
Last Update Date | 2023-12-04 |