| 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 |