| 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 |