| NPI | 1457639023 |
|---|---|
| Former Name | ANGELA MARIE LESLIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1096564) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 688246) |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: TX 688246) | |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2022-12-02 |