| NPI | 1366513640 |
|---|---|
| Former Name | LESLIE MARIE AYDELOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP603368019) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2016-05-11 |