| NPI | 1841589843 |
|---|---|
| Former Name | JALENE ANNE LANTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.134281) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.134281) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2016-05-18 |