NPI | 1255785820 |
---|---|
Former Name | LESLIE MATTHEWS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35.142569) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.142569) |
207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35.142569) | |
Enumeration Date | 2016-04-20 |
Last Update Date | 2025-08-04 |