NPI | 1609313923 |
---|---|
Former Name | LEANNE T STRASSER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A163848) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10343) |
Enumeration Date | 2017-01-24 |
Last Update Date | 2021-10-18 |