NPI | 1831595735 |
---|---|
Former Name | LEYNA ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71006478A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209012051) |
Enumeration Date | 2014-11-05 |
Last Update Date | 2024-09-18 |