| NPI | 1225321300 |
|---|---|
| Former Name | LESLIE ANNE RUSSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 288411-1) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2022-07-21 |