| 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 |