NPI | 1396238630 |
---|---|
Other Name | KRISTY LEANY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 5282880-4405) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 829459) |
Enumeration Date | 2018-06-12 |
Last Update Date | 2022-08-26 |