NPI | 1336403435 |
---|---|
Former Name | LEAH ONEAL SPRINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 6584) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 6584) |
Enumeration Date | 2012-07-03 |
Last Update Date | 2023-08-29 |