NPI | 1972059095 |
---|---|
Former Name | LEIGH NEIDEMEYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5015588) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00694300) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NJ 26NR15925100) | |
Enumeration Date | 2016-08-29 |
Last Update Date | 2022-05-23 |