| NPI | 1720274012 |
|---|---|
| Former Name | LEANNE M MAST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: IL 209-013031) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209006679) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2025-01-14 |