NPI | 1699952952 |
---|---|
Former Name | LESLIE MARIE PASSMORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: FL ME103850) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN10022) |
Enumeration Date | 2008-01-29 |
Last Update Date | 2015-08-19 |