| NPI | 1942317557 |
|---|---|
| Former Name | BRIDGETTE MONIQUE LESLIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024182741) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00109200) |
| 363LF0000X Nurse Practitioner Family (Licence: CA 95004154) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2021-12-08 |