| 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 |