| NPI | 1275187551 |
|---|---|
| Former Name | LEEANN CHRISTINE BOUCHONNET |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009417A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28223755A) |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2023-06-29 |