| NPI | 1750364162 |
|---|---|
| Former Name | JOANNE MICHELLE LEGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: PA DS036447) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2007-07-08 |