NPI | 1710037262 |
---|---|
Former Name | SUSAN A LEGGETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D38149) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD18057) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2024-07-11 |