NPI | 1730117086 |
---|---|
Former Name | AMY J FITZGERALD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0056652) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR R4536) |
207R00000X Internal Medicine (Licence: AR R-4536) | |
Enumeration Date | 2006-06-28 |
Last Update Date | 2016-09-16 |