| NPI | 1972333482 |
|---|---|
| Former Name | LEAH JEGLUM TINDILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: WI 15691-33) |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-12-18 |