| NPI | 1144291378 |
|---|---|
| Former Name | LESLIE JORDAN COLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA PST022546) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00056250) |
| 183500000X Pharmacist (Licence: TX 52853) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2019-12-28 |