| NPI | 1316397524 |
|---|---|
| Former Name | HEATHER LEONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0072662) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-10661) |
| 207Q00000X Family Medicine (Licence: IA DO-05268) | |
| Enumeration Date | 2016-06-18 |
| Last Update Date | 2025-01-07 |