NPI | 1023156577 |
---|---|
Former Name | LESLIE ERIN MCDANIEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35-124268) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.117501) |
207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: OK 29072) | |
Enumeration Date | 2007-02-04 |
Last Update Date | 2014-08-01 |