| NPI | 1649426545 |
|---|---|
| Former Name | LESLIE O'DANIEL FOSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0102X Registered Nurse Maternal Newborn (Licence: CT R49680) |
| Additional Taxonomies | 163WM0102X Registered Nurse Maternal Newborn (Licence: AZ RN093361) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2008-08-11 |