NPI | 1740692276 |
---|---|
Former Name | LESLI ROGERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: TX Q5940) |
Additional Taxonomies | 208D00000X General Practice (Licence: TX Q5940) |
Enumeration Date | 2014-06-02 |
Last Update Date | 2024-05-17 |