NPI | 1356972665 |
---|---|
Former Name | LESLIE ERICA LUNN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: ND R40504) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND R40504) |
Enumeration Date | 2020-01-27 |
Last Update Date | 2020-01-27 |