| NPI | 1043234818 |
|---|---|
| Other Name | JENINFER LEATHERBURY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110003002) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA051549) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2022-01-02 |