NPI | 1497238299 |
---|---|
Former Name | TASHA CHARLENE LEIBENSPERGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP019222) |
Enumeration Date | 2018-09-08 |
Last Update Date | 2018-09-08 |