| NPI | 1578056859 |
|---|---|
| Former Name | STEPHANIE D LEEDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA DO-05758) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125072406) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2021-10-06 |