| 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 | 2022-07-11 |