NPI | 1033650338 |
---|---|
Former Name | LEAH DANIELLE VANCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35146123) |
Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35146123) |
Enumeration Date | 2017-03-20 |
Last Update Date | 2024-03-12 |