NPI | 1265849970 |
---|---|
Former Name | LEIGH SHOLLEY CLANTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 19724) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 59424) |
Enumeration Date | 2014-07-14 |
Last Update Date | 2019-10-03 |