NPI | 1922515311 |
---|---|
Other Name | LESLIE B MORENO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9325959) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9325959) |
Enumeration Date | 2018-01-07 |
Last Update Date | 2019-10-01 |