| NPI | 1700203130 |
|---|---|
| Former Name | LESLIE JOAN KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-76237-111) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95029882) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2025-12-19 |