| NPI | 1932455276 |
|---|---|
| Former Name | KATIE LEONARD CAST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX BP10039894) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10039894) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2016-01-14 |