| NPI | 1194752501 |
|---|---|
| Former Name | LEAH A CARL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 3816) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 010936) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2022-07-21 |