| NPI | 1023200821 |
|---|---|
| Former Name | LEAH SUZANNE BJORNSKOV |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200850086NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200440200RN) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2018-06-29 |