| NPI | 1528281169 |
|---|---|
| Other Name | ERIN E LEESEBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02003470A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2007-01098) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2022-06-03 |