| NPI | 1871873745 |
|---|---|
| Former Name | LEAH EMILY MAURER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 61922) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.136463) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2020-11-16 |