| NPI | 1760790612 |
|---|---|
| Former Name | LESLIE GRIFFINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 002505) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CT 002505) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2018-01-03 |