| NPI | 1134939051 |
|---|---|
| Former Name | LESLIE ELAINE WATTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 39361) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 39361) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 39361) | |
| Enumeration Date | 2025-01-13 |
| Last Update Date | 2025-08-19 |