| NPI | 1962538405 |
|---|---|
| Other Name | LESLIE E MANICCIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60191467) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MA006418) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2013-07-16 |