| NPI | 1427317114 |
|---|---|
| Former Name | LAURA MARY LESOVITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP019346) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA SP012099) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2019-01-30 |