| NPI | 1750728861 |
|---|---|
| Former Name | LEAH NICOLE BRASETH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101261619) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL TRN 18807) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2022-09-28 |