NPI | 1578833380 |
---|---|
Former Name | LEIGHA MARIE CALDWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP119621) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 723419) |
Enumeration Date | 2012-01-10 |
Last Update Date | 2023-04-26 |