| NPI | 1427480003 |
|---|---|
| Former Name | LEAH N DEWANZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 11870) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 002428) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2020-08-21 |