| NPI | 1275963522 |
|---|---|
| Former Name | LESLIE GAITAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9277266) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SD SD-CNPCP003571) |
| 207Q00000X Family Medicine (Licence: VT 101.0135696) | |
| 207Q00000X Family Medicine (Licence: KY 3018346) | |
| 207Q00000X Family Medicine (Licence: DC NP500005015) | |
| 207Q00000X Family Medicine (Licence: NH APRN090088-23) | |
| 207Q00000X Family Medicine (Licence: WV 122224) | |
| 207Q00000X Family Medicine (Licence: ME CNP221460) | |
| 207Q00000X Family Medicine (Licence: KS 53-81499-121) | |
| 207Q00000X Family Medicine (Licence: RI APRN03482) | |
| 207Q00000X Family Medicine (Licence: OH CNP0032940) | |
| 207Q00000X Family Medicine (Licence: MD AC004720) | |
| 207Q00000X Family Medicine (Licence: MA RN2371723) | |
| 207Q00000X Family Medicine (Licence: DE LG-0012159) | |
| 207Q00000X Family Medicine (Licence: VA 0024191318) | |
| Enumeration Date | 2013-11-23 |
| Last Update Date | 2025-10-11 |