| NPI | 1699096453 |
|---|---|
| Former Name | LESLIE A CUTTING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: WI 2843) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: IA 002122) |
| 363AM0700X Physician Assistant Medical (Licence: MN 11336) | |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2014-06-24 |