| NPI | 1366678922 |
|---|---|
| Former Name | LESLIE ANNE MAUL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NE 6649) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: GA 003938) | |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2012-10-08 |