| 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 |