NPI | 1679807911 |
---|---|
Former Name | LAURA A. LEUENBERGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA101945NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN319869) |
363LF0000X Nurse Practitioner, Family (Licence: OH COA10945NP) | |
363LF0000X Nurse Practitioner, Family (Licence: OH RX10945EX1) | |
Enumeration Date | 2009-09-18 |
Last Update Date | 2019-03-12 |