| NPI | 1184133365 |
|---|---|
| Other Name | KETURAH LEE LEGLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 306601) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95005555) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP95005555) | |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2024-05-21 |