NPI | 1962838599 |
---|---|
Former Name | LESLIE ANN NESTRO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704266343) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11025268) |
Enumeration Date | 2013-09-14 |
Last Update Date | 2023-05-23 |