| NPI | 1629395512 |
|---|---|
| Former Name | SHAVON YANNUZZI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS016462) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT013412) |
| Enumeration Date | 2010-05-01 |
| Last Update Date | 2014-10-23 |