| NPI | 1124865118 |
|---|---|
| Professional Name | MACKENZIE THOMAS LEDBETTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: AL 1-100396) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AL 1-100396) |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-07-09 |