NPI | 1336385269 |
---|---|
Former Name | JANEY NICOLE LEACHMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OK 081466) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 792436) |
363LF0000X Nurse Practitioner Family (Licence: OH 81466) | |
Enumeration Date | 2008-12-23 |
Last Update Date | 2021-03-24 |