| NPI | 1578069571 |
|---|---|
| Former Name | LEAH VETTRUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: WI 155258) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2022-01-25 |