NPI | 1891052817 |
---|---|
Former Name | LEAH F. HAGLUND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: WI 67514-20) |
Additional Taxonomies | 208000000X Pediatrics (Licence: UT 8781005-1205) |
Enumeration Date | 2012-04-15 |
Last Update Date | 2024-01-12 |