| NPI | 1427032812 |
|---|---|
| Former Name | LESLIE JOAN GULLAHORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A76986) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 24897) |
| 207X00000X Orthopaedic Surgery (Licence: PA MD482935) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA A76986) | |
| 174400000X Specialist (Licence: CA A76986) | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2023-12-08 |