| NPI | 1619901212 |
|---|---|
| Former Name | LESLIE MATHISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP30004805) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA RN00118220) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2023-03-07 |