NPI | 1609886308 |
---|---|
Former Name | LORRAINE M LEONARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: SD 3808) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SD 3808) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2012-05-01 |