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 |