| NPI | 1104220813 |
|---|---|
| Former Name | GIGI ELISABETH LECLEAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024172102) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: VA 0001162246) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172102) | |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2019-03-14 |