NPI | 1487058897 |
---|---|
Former Name | CASSIE LAYNE LEIFESTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX AP126778) |
Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 763531) |
363LP0200X Nurse Practitioner Pediatrics (Licence: TX 20142767) | |
Enumeration Date | 2014-10-14 |
Last Update Date | 2020-11-19 |