| NPI | 1215733050 |
|---|---|
| Former Name | LESLIE ELAINE WHITED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 38284) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 214186) |
| Enumeration Date | 2025-02-21 |
| Last Update Date | 2025-08-01 |