| NPI | 1144438854 |
|---|---|
| Former Name | PENNY LYNN HIIPAKKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX N0833) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MI 5101015246) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OH 34.009992) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2015-07-13 |