| NPI | 1265188395 |
|---|---|
| Former Name | LEAH MONIQUE WARREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2309666) |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2025-08-12 |