NPI | 1760595805 |
---|---|
Former Name | LESLIE MARY BORSETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2015016355) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KS 0437974) |
Enumeration Date | 2006-08-15 |
Last Update Date | 2015-06-16 |