| NPI | 1538451554 |
|---|---|
| Former Name | LEAH BRYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: WI 69446) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: WI 69446) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2024-03-12 |