| NPI | 1376793349 |
|---|---|
| Former Name | LESLEY BROCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71015390A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.10389-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3005659) | |
| 363L00000X Nurse Practitioner (Licence: KY 3005659) | |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2024-07-18 |