NPI | 1891009056 |
---|---|
Former Name | ABBIE N LEISCHNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 1536) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 002128) |
Enumeration Date | 2010-07-29 |
Last Update Date | 2019-05-03 |