NPI | 1124158225 |
---|---|
Former Name | LEIGH ANN WEINFURTNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 2596) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY PA1001) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2024-10-01 |