| NPI | 1164724670 |
|---|---|
| Former Name | LEAH MARIE DIRIENZO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9204004) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9204004) |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2025-03-04 |