NPI | 1063670784 |
---|---|
Former Name | LEAH K. HARTENSTEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VT 055-0031036) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2008-05-29 |
Last Update Date | 2011-03-16 |