| NPI | 1396782454 |
|---|---|
| Former Name | LEIGH ANNIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35076854) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 37401) |
| 207Q00000X Family Medicine (Licence: KY 37401) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2021-07-22 |