| NPI | 1114257896 |
|---|---|
| Former Name | LEISA MCDONNOUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 254776) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA09298400) |
| Enumeration Date | 2010-01-03 |
| Last Update Date | 2025-02-13 |