NPI | 1598276842 |
---|---|
Former Name | ANDREA LOUISE LEIBEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028194) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.431646) |
Enumeration Date | 2017-10-13 |
Last Update Date | 2024-02-27 |