| NPI | 1497017404 |
|---|---|
| Former Name | LESLEE MICHELE DAVENPORT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR A004153) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2018-05-09 |