NPI | 1881981017 |
---|---|
Former Name | LEIGH ANN CORIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: GA 6172) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 2114) |
Enumeration Date | 2011-07-08 |
Last Update Date | 2019-11-06 |