| NPI | 1265877989 |
|---|---|
| Former Name | TARA JACQUELINE LESLIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: KY 3007961) |
| Additional Taxonomies | 364SC0200X Clinical Nurse Specialist, Critical Care Medicine (Licence: KY 3007961) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2019-05-06 |