NPI | 1487278842 |
---|---|
Former Name | LEAH MICHELLE SANCHEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA14147) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: TX K3639) |
Enumeration Date | 2020-06-02 |
Last Update Date | 2022-03-22 |