| NPI | 1487617643 |
|---|---|
| Former Name | LEANNE C HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: ME PA1525) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: PA MA001939L) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2017-04-25 |