NPI | 1962877506 |
---|---|
Former Name | LESLIE JERKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN203517) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008205) |
Enumeration Date | 2015-12-08 |
Last Update Date | 2023-04-11 |