| NPI | 1003084138 |
|---|---|
| Other Name | ANGELA MARIE LEO-NIEBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 251544-1) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA OT011311) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2010-01-22 |