| NPI | 1639796543 |
|---|---|
| Former Name | JENNIFER MARIE LEACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP026058) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP145867) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP145867) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP145867) | |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2024-04-17 |