| NPI | 1992772602 |
|---|---|
| Former Name | LESLIE ANN LITTLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-02396) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085001375) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2021-05-11 |