| NPI | 1013685957 |
|---|---|
| Former Name | MYRVIENNE LEON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 30362) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 30362) |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2024-09-04 |