NPI | 1356083869 |
---|---|
Former Name | LESLIE HESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: WV 108619) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: WV 32393) |
Enumeration Date | 2022-04-13 |
Last Update Date | 2024-08-30 |