| 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 |