| NPI | 1871592980 |
|---|---|
| Former Name | LEILA DENISE BOVILLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH np06645) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.06645) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2020-02-27 |