| NPI | 1700548500 |
|---|---|
| Former Name | LEAH MCKENZI MCDONNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11014188) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11014188) |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2024-06-11 |