NPI | 1932093010 |
---|---|
Former Name | KATHLEEN DELEON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11039937) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11039937) |
Enumeration Date | 2025-06-04 |
Last Update Date | 2025-08-12 |