NPI | 1710540208 |
---|---|
Former Name | KATHERINE ELIZABETH LEEPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2019029401) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MO 2013004138) |
363LN0000X Nurse Practitioner, Neonatal (Licence: KS 53-78920-041) | |
Enumeration Date | 2019-04-19 |
Last Update Date | 2023-08-24 |