NPI | 1033609508 |
---|---|
Former Name | LINDSEY DIONNE LEIB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 20917591) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041410049) |
Enumeration Date | 2018-05-10 |
Last Update Date | 2018-05-10 |