NPI | 1700322245 |
---|---|
Former Name | LEAH JEAN APPLEBACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704297314) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704297314) |
Enumeration Date | 2017-01-09 |
Last Update Date | 2019-08-14 |