NPI | 1902802077 |
---|---|
Former Name | LEANNA J. FOGLEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 97-01354) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 021183) |
Enumeration Date | 2005-06-23 |
Last Update Date | 2024-03-08 |