NPI | 1205345196 |
---|---|
Former Name | LEAH R BEHYMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209016180) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209016180) |
Enumeration Date | 2017-09-25 |
Last Update Date | 2023-11-27 |