| NPI | 1609879162 |
|---|---|
| Other Name | LEAH BLACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 4140P) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71001612A) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2012-09-06 |