| NPI | 1588091326 | 
|---|---|
| Former Name | LESLIE ANNE WILHITE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA AP08761)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN151639)  | 
| Enumeration Date | 2013-10-10 | 
| Last Update Date | 2016-08-05 |