| NPI | 1326426552 |
|---|---|
| Former Name | LESLIE ANNE BROOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00556000) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9479200) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA RN307246L) | |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2022-08-16 |