| NPI | 1164795753 |
|---|---|
| Former Name | LESLIE MARIE LENZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704240530) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2018-03-28 |