NPI | 1457354896 |
---|---|
Former Name | LESLIE M. AMENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00032199) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD0032199) |
207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: WA MD00032199) | |
Enumeration Date | 2005-05-31 |
Last Update Date | 2016-03-22 |