| NPI | 1386618858 |
|---|---|
| Former Name | JOANNA ORTEGA LEUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110001370) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001149229) |
| 363A00000X Physician Assistant (Licence: GA 006095) | |
| 363A00000X Physician Assistant (Licence: MD C0002889) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2018-09-26 |