| NPI | 1184115453 |
|---|---|
| Former Name | LEAH FAYE MATALON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 8835) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2023-02-11 |