NPI | 1396963484 |
---|---|
Former Name | LEIGH MICHELLE FINK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OR PA165758) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 012588-1) |
Enumeration Date | 2007-04-23 |
Last Update Date | 2014-06-24 |