| NPI | 1124443726 |
|---|---|
| Former Name | COURTNEY M LEITERITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 5691) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 166270) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2023-12-14 |