| NPI | 1033215728 |
|---|---|
| Former Name | LESLIE ANN SONDEEN OPILA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209-002338) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IL 41-299428) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2011-10-07 |