NPI | 1710023908 |
---|---|
Former Name | LESLIE FARRELL ELLIOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KS 0436905) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX N6736) |
207V00000X Obstetrics & Gynecology (Licence: MO 2006015669) | |
Enumeration Date | 2007-01-29 |
Last Update Date | 2024-04-18 |