NPI | 1124450648 |
---|---|
Former Name | LESLIE MARIE YARBERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN17718) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN159964) |
363L00000X Nurse Practitioner (Licence: TN 159964) | |
Enumeration Date | 2013-08-07 |
Last Update Date | 2023-05-23 |