NPI | 1114505997 |
---|---|
Former Name | LEAH HERMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-175798) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-175798) |
Enumeration Date | 2021-03-31 |
Last Update Date | 2023-07-18 |