NPI | 1265799423 |
---|---|
Former Name | LESLEY ANNE RUSSELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 279323-1) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 279323) |
Enumeration Date | 2012-04-12 |
Last Update Date | 2018-05-02 |