| NPI | 1598260564 |
|---|---|
| Former Name | MINNA LOUISE LEYDORF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0091300) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MD D91300) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2024-07-09 |