| NPI | 1003092420 |
|---|---|
| Former Name | LESLIE L. THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 83310) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 83310) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2014-10-06 |