| NPI | 1407947286 |
|---|---|
| Other Name | LEANDRA BIBIANA NOSSA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA0005128) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9103879) |
| 246ZA2600X Specialist/Technologist, Other, Art, Medical (Licence: FL TN35171) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2018-11-28 |