| NPI | 1861479438 |
|---|---|
| Former Name | LESLIE BARBARA GALLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME131646) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 104662) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD051907L) | |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2021-07-14 |