| NPI | 1972179687 |
|---|---|
| Former Name | NICOLE MARIE LEEPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ RN201945-259650) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 259650) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2024-02-27 |