| NPI | 1902869167 |
|---|---|
| Former Name | ELIZABETH ANNE LEONARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2021-02957) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01059873A) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2023-03-01 |