NPI | 1376748525 |
---|---|
Former Name | JENNIFER LYNN LESSIG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301096699) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A94104) |
Enumeration Date | 2007-06-18 |
Last Update Date | 2011-10-31 |