| NPI | 1043732530 |
|---|---|
| Former Name | LESLIE MACKENZIE MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95010146) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308257) |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2022-07-26 |