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 |