NPI | 1770222911 |
---|---|
Former Name | TAYLOR MARIE LEPPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10011304) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 10218749-3102) |
Enumeration Date | 2022-06-03 |
Last Update Date | 2024-03-28 |