| NPI | 1053428417 |
|---|---|
| Former Name | LEAH ANN KORNOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 47005) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 36109515) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2021-11-23 |