| NPI | 1336185677 |
|---|---|
| Former Name | LEAH PAULINE WESTERDAHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200450116NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024165811) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 200450116NP-PP) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2024-03-07 |