NPI | 1073075164 |
---|---|
Former Name | LESLIE S SCHAEDLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.143513) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57.247856) |
Enumeration Date | 2019-04-05 |
Last Update Date | 2022-10-31 |