NPI | 1174760615 |
---|---|
Former Name | JESSICA MARIE LEAMON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN RN164557) |
Enumeration Date | 2009-01-20 |
Last Update Date | 2009-01-20 |