| NPI | 1427687532 |
|---|---|
| Former Name | LEANNA NICOLE BROOKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2023-02371) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 2023-02371) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2024-09-23 |