NPI | 1003242546 |
---|---|
Former Name | ALLISON LEIGH TEATERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH COA.15138-NP) |
Enumeration Date | 2013-09-16 |
Last Update Date | 2014-10-11 |