| NPI | 1710901590 |
|---|---|
| Former Name | LESLIE ANN POWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CA A62713) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: OK 37665) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-12-29 |