| NPI | 1962165233 |
|---|---|
| Former Name | ALEIGHA BRANDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA AP61218625) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID 66361) |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2021-10-14 |