| NPI | 1326588369 |
|---|---|
| Former Name | ALYSSA K. LEANING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA61036650) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 0004798) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2022-03-09 |