NPI | 1134402621 |
---|---|
Former Name | SHANNON M LEIGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO np-990337) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 172141) |
Enumeration Date | 2011-09-21 |
Last Update Date | 2021-01-22 |