NPI | 1770271207 |
---|---|
Former Name | LEDA KOSSAYDA SEALY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 06318223) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 2288981) |
163W00000X Registered Nurse (Licence: NH 06318221) | |
Enumeration Date | 2023-04-24 |
Last Update Date | 2023-11-21 |