NPI | 1588085054 |
---|---|
Former Name | DEBRA ANN LEESMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.15350) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.15350) |
Enumeration Date | 2013-12-30 |
Last Update Date | 2013-12-30 |