NPI | 1477335412 |
---|---|
Former Name | KAMRYN LEEPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA17364) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2023-10-16 |
Last Update Date | 2023-11-03 |