| NPI | 1427606367 |
|---|---|
| Former Name | ANNA GRACE LEICHTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.007533RX) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9111836) |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2024-10-01 |