| NPI | 1043380777 |
|---|---|
| Former Name | LESLIE CAROL MEDFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN077228) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA RN077228) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2024-01-24 |