NPI | 1134583925 |
---|---|
Former Name | LEIGH ROSE SCHLACTUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2019017487) |
Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MO 2019017487) |
Enumeration Date | 2016-04-08 |
Last Update Date | 2021-02-05 |