| NPI | 1598077398 |
|---|---|
| Former Name | LESLIE JEAN MALAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 9261) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO PA.0004937) |
| 363A00000X Physician Assistant (Licence: CO PA.0004937) | |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2023-03-07 |