| NPI | 1396167680 |
|---|---|
| Former Name | LESLIE ANN DIZON SANTOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95003367) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 793244) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95003367) | |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: CA 3898) | |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2024-02-01 |