| NPI | 1336689900 |
|---|---|
| Former Name | LEIGH CARBUTT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5009290) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5009290) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2023-11-28 |