NPI | 1487837928 |
---|---|
Former Name | LEAH K TRAIL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN013072) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 13072) |
Enumeration Date | 2007-12-06 |
Last Update Date | 2024-01-09 |