NPI | 1851646814 |
---|---|
Former Name | LORENE LEITCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD455709) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT201068) |
Enumeration Date | 2012-07-16 |
Last Update Date | 2017-03-30 |