Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 57.026181 | OH |
Y | 207YS0123X | Facial Plastic Surgeon | A168535 | CA |
NPI | 1164817359 |
---|---|
Provider Name | Brittany Leader |
First Address | Palo Alto, CA 94301-2401 |
Second Address | Palo Alto, CA 94301-2401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2015 |
Last Update Date | 30/07/2021 |