| NPI | 1629238381 |
|---|---|
| Former Name | LALEISHA PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN MD46794) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE C10011329) |
| 208M00000X Hospitalist (Licence: DE C10011329) | |
| 208D00000X General Practice (Licence: DE C10011329) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2016-02-22 |