NPI | 1952895567 |
---|---|
Former Name | LILY SIMONE KOSMINSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0103200) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 307715) |
Enumeration Date | 2018-06-18 |
Last Update Date | 2025-05-29 |