NPI | 1710183637 |
---|---|
Former Name | LEAH A PAULLUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA 3920) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 3920) |
Enumeration Date | 2007-06-26 |
Last Update Date | 2012-11-05 |