| NPI | 1972634509 |
|---|---|
| Former Name | LISA A LESLIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 48077) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01068379A) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2021-01-27 |