NPI | 1487975181 |
---|---|
Former Name | LESLIE MAE DALAZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036131651) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036.131651) |
Enumeration Date | 2010-06-16 |
Last Update Date | 2024-06-28 |