| NPI | 1669620191 |
|---|---|
| Former Name | LEILA SHARVANI HANAGUD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0001930) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0001930) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2022-08-03 |