| NPI | 1063848653 |
|---|---|
| Former Name | LESLIE ANN SPEARS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: OK 5484) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 5484) |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2021-05-17 |