| NPI | 1396930079 |
|---|---|
| Former Name | LESLIE DAWN MINOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CT 52279) |
| Additional Taxonomies | 208800000X Urology (Licence: MD D0066234) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2014-04-11 |