| NPI | 1548722929 |
|---|---|
| Former Name | LEAH CATHERINE ELLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL0007621) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2021-05-20 |