| NPI | 1003092834 |
|---|---|
| Former Name | LEIGH ANN YOUNGBLOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN150142) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN150142) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2012-08-14 |