| NPI | 1447509633 |
|---|---|
| Former Name | LETICIA LYNN CHRISTISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71004106A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004106A) |
| Enumeration Date | 2012-09-03 |
| Last Update Date | 2024-11-03 |