| NPI | 1790281053 |
|---|---|
| Former Name | LEANDRA CONLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A17756) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 17756) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2021-09-29 |