NPI | 1114012416 |
---|---|
Former Name | LEIGH ANNE YATES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005892A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 002416696) |
363LF0000X Nurse Practitioner, Family (Licence: KS 53-45643) | |
Enumeration Date | 2006-10-03 |
Last Update Date | 2016-03-22 |