| NPI | 1962720292 |
|---|---|
| Former Name | JEANNE LORRAINE ZUKAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS015740) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT013362) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2020-08-24 |