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 | 2024-06-18 |