NPI | 1124783063 |
---|---|
Former Name | ASHLYN SUMMER LEAVINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-167005) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-167005) |
Enumeration Date | 2021-11-05 |
Last Update Date | 2024-04-02 |