NPI | 1992936876 |
---|---|
Former Name | LEAH GRAYCE WINTERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL DO.1489) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS015817) |
207R00000X Internal Medicine (Licence: GA 69534) | |
Enumeration Date | 2009-07-27 |
Last Update Date | 2015-09-02 |