NPI | 1790730950 |
---|---|
Former Name | LESLIE STOCKING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 001627) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 001627) |
Enumeration Date | 2006-05-24 |
Last Update Date | 2018-11-26 |