NPI | 1730378555 |
---|---|
Former Name | JESSICA LEET |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71013410A) |
Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MO 2010002603) |
Enumeration Date | 2007-10-17 |
Last Update Date | 2023-02-09 |