| NPI | 1568869345 |
|---|---|
| Former Name | LESLIE JADE BACHELOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NM MD2025-0266) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-11-23 |
| Last Update Date | 2025-04-10 |