NPI | 1801585385 |
---|---|
Other Name | STEPHANIE LEON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10014644) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 231604) |
Enumeration Date | 2023-05-02 |
Last Update Date | 2024-04-15 |