| NPI | 1225396633 |
|---|---|
| Former Name | LEAH ANN BETCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01077038A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 57173) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2019-02-04 |