| NPI | 1629452990 |
|---|---|
| Former Name | LESLI ANN MORCOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5007762) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 5007762) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2023-07-15 |