| NPI | 1720372683 |
|---|---|
| Former Name | LESLIE DANIELLE MAGIDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.131135) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101255990) |
| 208000000X Pediatrics (Licence: DC MD043223) | |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2018-10-22 |