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 |