| NPI | 1164523197 |
|---|---|
| Former Name | LESLEY HUFFMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2005004539) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MO 2005004539) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2024-08-02 |