| NPI | 1871961813 |
|---|---|
| Former Name | LESLIE DY-ANNE MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209013009) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: IL 209013009) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2025-01-15 |