| NPI | 1801250303 |
|---|---|
| Former Name | TERESA KATE LESLIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: AL MD.36494) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MS MS28738) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2024-01-24 |