| NPI | 1306612155 | 
|---|---|
| Former Name | LEAH R SCHAEFER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 11356)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 11356)  | 
| Enumeration Date | 2023-12-01 | 
| Last Update Date | 2024-05-21 |