| NPI | 1659581676 | 
|---|---|
| Former Name | CHRISTINE LEISHMAN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2022013877) | 
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: UT 281934-1206) | 
| Enumeration Date | 2007-05-22 | 
| Last Update Date | 2025-09-10 |