| NPI | 1326054578 |
|---|---|
| Former Name | LESLIE JO DANIELS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: AZ 17707) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 17707) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2013-01-11 |