| NPI | 1205063492 |
|---|---|
| Former Name | HEATHER LESAGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VT 042-0012847) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 1056982) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MI 4301094661) | |
| 208000000X Pediatrics (Licence: MI 4301094661) | |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2023-06-30 |