NPI | 1376021154 |
---|---|
Former Name | LEEANN R. TAUANUU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 112563) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 72595) |
Enumeration Date | 2018-08-02 |
Last Update Date | 2023-04-04 |