NPI | 1902953862 |
---|---|
Other Name | LESLIE ANN VAN SCHAACK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A121754) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101240524) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2018-01-17 |