| NPI | 1265581326 |
|---|---|
| Former Name | JANET LESLIE HADER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME123295) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 33370) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2019-04-17 |