| NPI | 1255697447 |
|---|---|
| Former Name | LESLIE VICTORIA WOOTEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 30165) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9255764) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2022-01-21 |