NPI | 1548710601 |
---|---|
Former Name | LEIGH ANNE REID |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-12710) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 1134636) |
Enumeration Date | 2016-10-12 |
Last Update Date | 2023-04-03 |