NPI | 1831382803 |
---|---|
Former Name | LESLIE A ALKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: PA MA051650) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA051650) |
363A00000X Physician Assistant (Licence: PA MA051650) | |
Enumeration Date | 2007-08-23 |
Last Update Date | 2022-01-03 |