| 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 |