NPI | 1194806588 |
---|---|
Former Name | LEIGH-ANNE FRALEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA 51634) |
Additional Taxonomies | 175F00000X Naturopath (Licence: CA ND-98) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2014-06-03 |