NPI | 1356654511 |
---|---|
Former Name | DANA SUZANNE LEFKOWITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME 105776) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME105776) |
Enumeration Date | 2010-07-16 |
Last Update Date | 2018-01-29 |