| NPI | 1639163199 |
|---|---|
| Former Name | LESLEY A NEGO-GUSTAFSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: WV 114) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: WV 57006) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2007-07-08 |