NPI | 1235310715 |
---|---|
Former Name | LESLIE ANN SMALLWOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: LA MD.203070) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 47281) |
207L00000X Anesthesiology (Licence: LA MD.203070) | |
Enumeration Date | 2007-11-26 |
Last Update Date | 2016-03-17 |