NPI | 1851736060 |
---|---|
Former Name | ABBY LEISHMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 025035) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CO 4755) |
363AS0400X Physician Assistant, Surgical | |
Enumeration Date | 2013-05-01 |
Last Update Date | 2023-05-04 |