NPI | 1013193457 |
---|---|
Former Name | LESLIE M PETERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 71002959A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28154154A) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71002959A) | |
Enumeration Date | 2008-01-16 |
Last Update Date | 2023-09-15 |