| NPI | 1790077071 |
|---|---|
| Former Name | MEGAN LYNNETTE LEACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-08173) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OH 003255) |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2023-09-25 |