| NPI | 1740546472 |
|---|---|
| Former Name | LESLIE RENEE MOSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MA 272835) |
| Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: MD D76650) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2017-07-28 |