| NPI | 1194192732 |
|---|---|
| Former Name | LEAH MARIE WADKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: GA 8780) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 8780) |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2018-07-26 |