NPI | 1528374097 |
---|---|
Former Name | LESLEY K MOTTLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3006578) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71003377A) |
Enumeration Date | 2010-08-23 |
Last Update Date | 2021-03-16 |