| NPI | 1477444321 |
|---|---|
| Former Name | LESLI HANCOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: IL 041.370718) |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-07-10 |