| 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 |