| NPI | 1144413055 |
|---|---|
| Former Name | ALIYA COURTNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MT191376) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA MT191376) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2007-08-23 |