| NPI | 1245335058 |
|---|---|
| Former Name | CHRISTINE L BOUTZALE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD439838) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D58944) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2010-08-16 |