NPI | 1902870405 |
---|---|
Former Name | LESLIE ANN VAN OSTRAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP-07986) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.07986) |
Enumeration Date | 2006-02-14 |
Last Update Date | 2023-08-29 |