| NPI | 1750884615 |
|---|---|
| Former Name | LEIGHANN CHRISTINA PANICO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA 20A20994) |
| 207X00000X Orthopaedic Surgery (Licence: PA OT018339) | |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2023-06-27 |