NPI | 1578112207 |
---|---|
Former Name | HEATHER LEIGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA13348) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX PA13348) |
Enumeration Date | 2019-09-05 |
Last Update Date | 2023-08-07 |