| NPI | 1689824310 |
|---|---|
| Former Name | MICHELLE MARIANNA LEON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 18449) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 18449) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2020-11-12 |