| NPI | 1942439898 |
|---|---|
| Former Name | LELA PEAVY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 13997-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 137770-030) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2023-05-25 |