NPI | 1619462488 |
---|---|
Former Name | LEAH CATHERINE DANIEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 001008219) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2018-06-25 |
Last Update Date | 2023-02-22 |