| NPI | 1407292592 |
|---|---|
| Former Name | LEAH B GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD179274) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA ML 60370996) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2024-04-09 |