NPI | 1386489516 |
---|---|
Former Name | LEAH CONOVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP003252) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R040253) |
363LF0000X Nurse Practitioner, Family (Licence: IA A180970) | |
Enumeration Date | 2024-06-28 |
Last Update Date | 2024-08-28 |