| NPI | 1992780712 |
|---|---|
| Former Name | LESLIE GLEN AHLERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: MN 43602) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 43602) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: MN 43602) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: MN 43602) | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2019-02-27 |