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 |