NPI | 1598039455 |
---|---|
Former Name | LESLIE P ENGLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: OK 89063) |
Additional Taxonomies | 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: OK 163W00000X) |
Enumeration Date | 2012-02-23 |
Last Update Date | 2021-08-30 |