NPI | 1679021612 |
---|---|
Former Name | LEAH MAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110007526) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA10726) |
Enumeration Date | 2016-09-20 |
Last Update Date | 2023-01-19 |