| NPI | 1386811792 |
|---|---|
| Former Name | LESLIE ELIZABETH BRIGGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: IN 10001148A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10001148A) |
| 363AM0700X Physician Assistant Medical (Licence: MI 5601005379) | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2024-11-15 |