| NPI | 1174630180 |
|---|---|
| Former Name | LEANNE R. BREIHAHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AK 170876) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MT 36234) |
| 363A00000X Physician Assistant (Licence: TN PA0000001325) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2021-06-17 |