NPI | 1538756440 |
---|---|
Former Name | SAMANTHA DEVENEY LEEDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.024782) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 20140044RN) |
363LF0000X Nurse Practitioner, Family (Licence: OR 202011296NP-PP) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: OR 202011296NP-PP) | |
Enumeration Date | 2020-12-26 |
Last Update Date | 2023-01-26 |