| NPI | 1417438151 |
|---|---|
| Former Name | ERIN LEISEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 14857) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 4412) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2025-11-20 |