| NPI | 1104869197 |
|---|---|
| Former Name | LESLIE SUSAN WILLIAMSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ME MD19649) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 9400233) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2016-06-22 |